LA County MICN RN 2024-2025 Exam With
100% Correct Solutions
Who is considered a perinatal pt? - AnSwer when they have reached 20 weeks gestation
When should a pt be transported to a perinatal facility? - AnSwer a. if in active labor
whether eminent delivery or not
b. when chief complaint is related to pregnancy
c. when they appear to be having perinatal complications
d. when injured and do not meet trauma guidelines
e. when hypertensive (=or> to 140/90)
f. 6 week post natal or less with hypertension
Pt has delivered in the field. The paramedic wants to come go to the MAR. The MAR is a
perinatal center. Both the mother and neonate are stable. What do you recommend? -
Answer The MAR is not the most appropriate location. The Pt and neonate should be
transported to a Perinatal center with EDAP or NICU capability depending of if the
mother was greater or less than 34 weeks gestation.
When would a perinatal pt. be transported to the MAR? -Answer a. when in acute
respiratory distress
b. When the complaint is unrelated to the pergnancy (ref 511)
32 week gestation pt w/ chest pain and shortness of breath and ST elevation on the 12
lead in the field. MAR is 5 minutes away, perinatal center is 10, and SRC is 20 minutes
away. Where do recommend pt be transported? - Answer Pt should be taken to SRC
because it is under 30 minutes for transport ( Ref. 511)
When do you use the black color on the Braslow scale? -Answer When the child is = or >
, to 12 years or they are off the Braslow tape. (Ref 1309)
EMS calls with pediatric cardiac arrest post drowning. They have been on the scene for
5 minutes and want to begin transport to your facility which is the nearest EDAP. What
do you recommend? - Answer Advised Paramedics to continue CPR in the field if the
scene is safe. (Ref 1210-P #2)
During pediatric cardiac arrest, when should EMS make base contact? Answeraly As
soon as possible. The management of this situation requires base contact asap. (REF
1210-P)
Dosage and administration of Epinephrine during a asystole/ PEA for pediatric cardiac
arrest - Answer Epinephrine (0.1mg/ml) 0.01mg/kg IV/IO repeat every 5 min with
minimum x2 with maximum single dose of 1mg (Ref 1210-P)
EMS reports pediatric pt in v-fib what is their first response? -Answer Defibrillate at
2J/kg and repeat at 4J/kg at each 2 minute cycle as indicated. ( REF 1210-P MCG 1309)
A pediatric pt has been defibrillated 3 times and they are still showing pulseless v-tach
on the monitor what should the MICN recommend? - Answer Advise for pad "vector
change" without overlap and attempt to defibrillate again. (REF 1210-P #14)
A pediatric pt was defibrillated 3 times, all unsuccessfully. The paramedic attempted a
pad inversion, also unsuccessful. Now what? - Answer MICN should recommend
Amiodarone (50mg/ML) 5mg/kg IV?IO Dosing per MCG 1309 Braslow scale (REF 1210-P)
EMS has reported a ROSC on the pediatric arrest. What would they should they be
monitoring for in the first 5 minutes after the ROSC is obtained? -Answer Bradycardia
and decreased capnography reading which implies impending repeat of asystole
Pediatric pt. is en route after obtaining ROSC. EMS reports to base that pt. BP is 65/32
and capnography is showing 22cO2 on the monitor. Normal saline has been running.
Answer MICN should recommend push dose EPi by mixing 9ML of normal saline in 1ML
of EPi in a saline flush to achieve a push dose of Epi of 0.01mg/ML and minister Q 1-5
100% Correct Solutions
Who is considered a perinatal pt? - AnSwer when they have reached 20 weeks gestation
When should a pt be transported to a perinatal facility? - AnSwer a. if in active labor
whether eminent delivery or not
b. when chief complaint is related to pregnancy
c. when they appear to be having perinatal complications
d. when injured and do not meet trauma guidelines
e. when hypertensive (=or> to 140/90)
f. 6 week post natal or less with hypertension
Pt has delivered in the field. The paramedic wants to come go to the MAR. The MAR is a
perinatal center. Both the mother and neonate are stable. What do you recommend? -
Answer The MAR is not the most appropriate location. The Pt and neonate should be
transported to a Perinatal center with EDAP or NICU capability depending of if the
mother was greater or less than 34 weeks gestation.
When would a perinatal pt. be transported to the MAR? -Answer a. when in acute
respiratory distress
b. When the complaint is unrelated to the pergnancy (ref 511)
32 week gestation pt w/ chest pain and shortness of breath and ST elevation on the 12
lead in the field. MAR is 5 minutes away, perinatal center is 10, and SRC is 20 minutes
away. Where do recommend pt be transported? - Answer Pt should be taken to SRC
because it is under 30 minutes for transport ( Ref. 511)
When do you use the black color on the Braslow scale? -Answer When the child is = or >
, to 12 years or they are off the Braslow tape. (Ref 1309)
EMS calls with pediatric cardiac arrest post drowning. They have been on the scene for
5 minutes and want to begin transport to your facility which is the nearest EDAP. What
do you recommend? - Answer Advised Paramedics to continue CPR in the field if the
scene is safe. (Ref 1210-P #2)
During pediatric cardiac arrest, when should EMS make base contact? Answeraly As
soon as possible. The management of this situation requires base contact asap. (REF
1210-P)
Dosage and administration of Epinephrine during a asystole/ PEA for pediatric cardiac
arrest - Answer Epinephrine (0.1mg/ml) 0.01mg/kg IV/IO repeat every 5 min with
minimum x2 with maximum single dose of 1mg (Ref 1210-P)
EMS reports pediatric pt in v-fib what is their first response? -Answer Defibrillate at
2J/kg and repeat at 4J/kg at each 2 minute cycle as indicated. ( REF 1210-P MCG 1309)
A pediatric pt has been defibrillated 3 times and they are still showing pulseless v-tach
on the monitor what should the MICN recommend? - Answer Advise for pad "vector
change" without overlap and attempt to defibrillate again. (REF 1210-P #14)
A pediatric pt was defibrillated 3 times, all unsuccessfully. The paramedic attempted a
pad inversion, also unsuccessful. Now what? - Answer MICN should recommend
Amiodarone (50mg/ML) 5mg/kg IV?IO Dosing per MCG 1309 Braslow scale (REF 1210-P)
EMS has reported a ROSC on the pediatric arrest. What would they should they be
monitoring for in the first 5 minutes after the ROSC is obtained? -Answer Bradycardia
and decreased capnography reading which implies impending repeat of asystole
Pediatric pt. is en route after obtaining ROSC. EMS reports to base that pt. BP is 65/32
and capnography is showing 22cO2 on the monitor. Normal saline has been running.
Answer MICN should recommend push dose EPi by mixing 9ML of normal saline in 1ML
of EPi in a saline flush to achieve a push dose of Epi of 0.01mg/ML and minister Q 1-5
